Individual provider Active NPI

Rebecca Rossi Hendricks, DO

  • Obstetrics & Gynecology Physician
  • Park Ridge, IL
National Provider Identifier
1750775227
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036149768 Issued in IL
Practice address
1875 Dempster St Ste 330
Park Ridge, IL 60068-1127
Phone
(847) 825-1100
Fax
(847) 825-0994
NPI assigned
Mar 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 1750775227 IL
Obstetrics & Gynecology Physician 207V00000X 036149768 IL Primary

Addresses

Primary practice location

1875 Dempster St Ste 330
Park Ridge, IL 60068-1127

Mailing address

29373 Network PL
Chicago, IL 60673-1293

Other practice location 1

1701 W Superior St
Chicago, IL 60622-5646
Phone (312) 666-3494

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rhendricks212785@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191230001959 IL Practitioner - Obstetrics/Gynecology 3375847171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Midwestern University, Chicago College of Osteopathic Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10 N Cumberland Ave
Park Ridge, IL 60068-3215
Phone (847) 825-0300

1775 Dempster St
Park Ridge, IL 60068-1143

1875 Dempster St
Park Ridge, IL 60068-1192

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1750775227ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erie Family Health Center, Inc Current Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Erie Family Health Center Inc CurrentSince Nov 6, 2019 Accepting new patients
Erie Family Health Center Inc CurrentSince Nov 6, 2019 Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Mar 24, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Mar 24, 2023 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381

29373 Network Pl
Chicago, IL 60673

1504 S Albany Ave
Chicago, IL 60623

1701 W Superior St
Chicago, IL 60622
Phone (312) 432-7392

10 N Cumberland Ave
Fl 2
Park Ridge, IL 60068

1875 Dempster St
Ste 330
Park Ridge, IL 60068
Phone (847) 655-8500

1875 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-8640

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1750775227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST STE 330",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681127",
            "telephone_number": "847-825-1100",
            "fax_number": "847-825-0994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 W Superior St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606225646",
            "country_code": "US",
            "telephone_number": "312-666-3494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "REBECCA",
        "middle_name": "ROSSI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "1750775227",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036149768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rhendricks212785@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1875 Dempster St Ste 330",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1875 Dempster St Ste 330",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.